{"id":11385598,"date":"2014-02-13T00:00:00","date_gmt":"2014-02-12T23:00:00","guid":{"rendered":"https:\/\/alertdiver.eu\/uncategorized-cs_cz\/srdecni-zalezitosti\/"},"modified":"2014-02-13T00:00:00","modified_gmt":"2014-02-12T23:00:00","slug":"srdecni-zalezitosti","status":"publish","type":"post","link":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/","title":{"rendered":"Srde\u010dn\u00ed z\u00e1le\u017eitosti"},"content":{"rendered":"

St\u00e1rnut\u00ed pot\u00e1p\u011b\u010dsk\u00e9 populace a zv\u00fd\u0161en\u00fd v\u00fdskyt \u00famrt\u00ed souvisej\u00edc\u00edch se srde\u010dn\u00edmi probl\u00e9my u star\u0161\u00edch pot\u00e1p\u011b\u010d\u016f p\u0159itahuje \u010d\u00edm d\u00e1l v\u011bt\u0161\u00ed pozornost. V\u017edy\u0165 p\u0159\u00edstrojov\u00e9 pot\u00e1p\u011bn\u00ed v p\u0159\u00edjemn\u00e9m a zdrav\u00e9m prost\u0159ed\u00ed si mnoho lid\u00ed vol\u00ed jako ide\u00e1ln\u00ed zp\u016fsob relaxace i pro pokro\u010dilej\u0161\u00ed obdob\u00ed sv\u00e9ho \u017eivota. Vy\u0161\u0161\u00ed v\u011bk se nepova\u017euje za nemoc nebo zdravotn\u00ed stav, kter\u00fd by nutn\u011b znamenal, \u017ee se star\u0161\u00ed lid\u00e9 nemaj\u00ed pot\u00e1p\u011bt, nebo d\u011blat jin\u00e9 fyzick\u00e9 \u010dinnosti, ale rozhodn\u011b se poj\u00ed se sn\u00ed\u017een\u00edm funk\u010dn\u00edch schopnost\u00ed lidsk\u00e9ho organismu a s v\u011bt\u0161\u00edm v\u00fdskytem chronick\u00fdch onemocn\u011bn\u00ed. Krit\u00e9ria zdravotn\u00ed zp\u016fsobilosti k pot\u00e1p\u011bn\u00ed jako takov\u00e9mu jsou stanovena jasn\u011b a spolehliv\u011b se pou\u017e\u00edvaj\u00ed ji\u017e v\u00edce ne\u017e p\u016fl stolet\u00ed, nicm\u00e9n\u011b v p\u0159\u00edpad\u011b po\u017eadavk\u016f na dostate\u010dnou fyzickou zdatnost a zp\u016fsobilost k p\u0159\u00edstrojov\u00e9mu <\/strong>pot\u00e1p\u011bn\u00ed tak jednozna\u010dn\u00e1 shoda nepanuje. Pot\u00e1p\u011b\u010d\u016fm se zpravidla doporu\u010duje pe\u010dliv\u011b vyhodnotit pot\u00e1p\u011b\u010dsk\u00e9 prost\u0159ed\u00ed p\u0159ed ka\u017ed\u00fdm ponorem a vyh\u00fdbat se p\u0159\u00edli\u0161 n\u00e1ro\u010dn\u00fdm podm\u00ednk\u00e1m, kter\u00e9 by mohly b\u00fdt nad jejich fyzick\u00e9 schopnosti. Tento p\u0159\u00edstup se u naprost\u00e9 v\u011bt\u0161iny pot\u00e1p\u011b\u010d\u016f osv\u011bd\u010duje, vyjma t\u011bch, kte\u0159\u00ed se stanou ob\u011bt\u00ed n\u011bjak\u00e9 fat\u00e1ln\u00ed nehody. Star\u0161\u00edm pot\u00e1p\u011b\u010d\u016fm hroz\u00ed nebezpe\u010d\u00ed smrteln\u00e9 nehody \u010dast\u011bji a nej\u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou \u00famrt\u00ed je v t\u011bchto p\u0159\u00edpadech n\u00e1hl\u00e1 srde\u010dn\u00ed smrt. V tomto \u010dl\u00e1nku se budeme stru\u010dn\u011b zab\u00fdvat epidemiologi\u00ed n\u00e1hl\u00e9 srde\u010dn\u00ed smrti, zm\u011bnami kardiovaskul\u00e1rn\u00ed soustavy souvisej\u00edc\u00edmi s v\u011bkem, specifick\u00fdmi stresory p\u0159i pot\u00e1p\u011bn\u00ed, zp\u016fsoby, jak se toto v\u0161e m\u016f\u017ee pojit s fat\u00e1ln\u00edmi p\u0159\u00edpady p\u0159i pot\u00e1p\u011bn\u00ed a co mohou pot\u00e1p\u011b\u010di u\u010dinit, aby sn\u00ed\u017eili mo\u017en\u00e1 nebezpe\u010d\u00ed.<\/p>\n

N\u00e1hl\u00e1 srde\u010dn\u00ed smrt <\/strong><\/p>\n

N\u00e1hl\u00e1 srde\u010dn\u00ed smrt (NSS) znamen\u00e1 ne\u010dekanou p\u0159irozenou smrt srde\u010dn\u00edho p\u016fvodu b\u011bhem kr\u00e1tk\u00e9 doby (zpravidla b\u011bhem hodiny od v\u00fdskytu prvn\u00edch p\u0159\u00edznak\u016f) u \u010dlov\u011bka bez p\u0159edchoz\u00edch pot\u00ed\u017e\u00ed, kter\u00e9 by se jevily jako smrteln\u011b nebezpe\u010dn\u00e9. Takov\u00e1 rychl\u00e1 smrt se \u010dasto p\u0159ipisuje srde\u010dn\u00ed arytmii, ale proto\u017ee 40 procent n\u00e1hl\u00fdch \u00famrt\u00ed prob\u011bhne bez sv\u011bdk\u016f, nelze to tvrdit s ur\u010ditost\u00ed.<\/p>\n

NSS mohou p\u0159edch\u00e1zet nespecifick\u00e9 p\u0159\u00edznaky jako bolest na hrudi (nazna\u010duj\u00edc\u00ed nedokrven\u00ed tk\u00e1n\u011b, ischemii), bu\u0161en\u00ed srdce (arytmii) nebo d\u00fdchac\u00ed pot\u00ed\u017ee (nazna\u010duj\u00edc\u00ed m\u011bstnav\u00e9 selh\u00e1v\u00e1n\u00ed srdce). V p\u0159\u00edpadech ischemie nebo m\u011bstnav\u00e9ho srde\u010dn\u00edho selh\u00e1n\u00ed je ovlivn\u011bn srde\u010dn\u00ed sval, v p\u0159\u00edpadech arytmie selh\u00e1v\u00e1 synchronizace a rytmus srde\u010dn\u00edch stah\u016f. Oboj\u00ed m\u00e1 za n\u00e1sledek neschopnost udr\u017eet funk\u010dnost ob\u011bhu, ztr\u00e1tu v\u011bdom\u00ed a smrt po n\u011bkolika minut\u00e1ch z\u00e1stavy ob\u011bhu.<\/p>\n

Ve Spojen\u00fdch st\u00e1tech doch\u00e1z\u00ed ro\u010dn\u011b k 1 NSS na 1 000 dosp\u011bl\u00fdch obyvatel, co\u017e p\u0159edstavuje ka\u017ed\u00fd rok v\u00edce ne\u017e 300 000 \u00famrt\u00ed. Nebezpe\u010d\u00ed NSS se u dosp\u011bl\u00fdch s rostouc\u00edm v\u011bkem zvy\u0161uje a\u017e \u0161estkr\u00e1t a vyrovn\u00e1v\u00e1 se tak v\u00fdskytu ischemick\u00e9ho srde\u010dn\u00edho onemocn\u011bn\u00ed. Nebezpe\u010d\u00ed je vy\u0161\u0161\u00ed u lid\u00ed se struktur\u00e1ln\u00edmi zm\u011bnami srdce, ale u 50% p\u0159\u00edpad\u016f nedo\u0161lo k \u017e\u00e1dn\u00e9 p\u0159edchoz\u00ed manifestaci srde\u010dn\u00edho onemocn\u011bn\u00ed a u 20 procent se p\u0159i pitv\u011b nezjistily \u017e\u00e1dn\u00e9 kardiovaskul\u00e1rn\u00ed zm\u011bny. Pot\u00e1p\u011b\u010di s p\u0159\u00edznaky kardiovaskul\u00e1rn\u00edho onemocn\u011bn\u00ed by se m\u011bli nechat vy\u0161et\u0159it kardiologem a l\u00e9ka\u0159em odborn\u00edkem na pot\u00e1p\u011b\u010dskou medic\u00ednu – aby se mohlo u\u010dinit kvalifikovan\u00e9 rozhodnut\u00ed ohledn\u011b dal\u0161\u00edho pot\u00e1p\u011bn\u00ed. U lid\u00ed bez p\u0159\u00edznak\u016f se d\u00e1 riziko NSS odhadnout posouzen\u00edm zn\u00e1m\u00fdch rizikov\u00fdch faktor\u016f, jak\u00fdmi jsou kou\u0159en\u00ed, vysok\u00fd krevn\u00ed tlak, vysok\u00fd cholesterol, cukrovka, nedostatek fyzick\u00fdch \u010dinnost\u00ed a nadv\u00e1ha. Nap\u0159\u00edklad ku\u0159\u00e1k\u016fm hroz\u00ed dvaap\u016flkr\u00e1t vy\u0161\u0161\u00ed nebezpe\u010d\u00ed NSS ne\u017e neku\u0159\u00e1k\u016fm.<\/p>\n

Dopady „zdrav\u00e9ho“ st\u00e1rnut\u00ed na kardiovaskul\u00e1rn\u00ed soustavu <\/strong><\/p>\n

V\u0161ichni v\u00edme, \u017ee t\u00fdm mlad\u00fdch dosp\u011bl\u00fdch lid\u00ed zpravidla snadno p\u0159edb\u011bhne nebo poraz\u00ed t\u00fdm slo\u017een\u00fd z jedinc\u016f st\u0159edn\u00edho v\u011bku. Lid\u00e9 nad t\u0159icet let zaznamen\u00e1vaj\u00ed \u00fabytek schopnosti vydr\u017eet v\u011bt\u0161\u00ed fyzick\u00e9 zat\u00ed\u017een\u00ed po del\u0161\u00ed dobu. Toto sn\u00ed\u017een\u00ed zdatnosti i b\u011bhem „zdrav\u00e9ho“ st\u00e1rnut\u00ed lze sice zpomalit pravideln\u00fdm cvi\u010den\u00edm, ale \u00fapln\u011b zastavit se ned\u00e1. P\u0159\u00ed\u010dinou je oslaben\u00ed funkce vlastn\u011b v\u0161ech t\u011blesn\u00fdch syst\u00e9m\u016f, ale my se zde soust\u0159ed\u00edme na srdce.<\/p>\n

Sou\u010d\u00e1st\u00ed srdce je mal\u00e1 oblast speci\u00e1ln\u00edch bun\u011bk, kter\u00e1 ud\u00e1v\u00e1 puls a na kterou navazuje cel\u00e1 soustava p\u0159evodn\u00edch drah. T\u011bmi se vedou sign\u00e1ly ke svalov\u00fdm bu\u0148k\u00e1m. \u010casem ztr\u00e1c\u00ed tato oblast n\u011bkter\u00e9 ze sv\u00fdch bun\u011bk a zm\u00edn\u011bn\u00e9 p\u0159evodn\u00ed dr\u00e1hy se mohou po\u0161kodit. Tyto zm\u011bny pak m\u00edvaj\u00ed za n\u00e1sledek zpomalen\u00ed srde\u010dn\u00ed frekvence v klidov\u00e9m stavu a n\u00e1chylnost k abnorm\u00e1ln\u00edmu rytmu, jako je nap\u0159\u00edklad fibrilace s\u00edn\u00ed.  <\/p>\n

Postupuj\u00edc\u00edm v\u011bkem se v\u0161echny \u010d\u00e1sti srdce st\u00e1vaj\u00ed m\u00e9n\u011b pru\u017en\u00fdmi. Zv\u011bt\u0161uje se tlou\u0161\u0165ka svalu lev\u00e9 komory a p\u0159esto, \u017ee cel\u00e9 srdce se m\u016f\u017ee lehce zv\u011bt\u0161ovat, objem lev\u00e9 komory se zmen\u0161uje. Srdce se pln\u00ed i vyprazd\u0148uje pomaleji, co\u017e znamen\u00e1, \u017ee pumpuje m\u00e9n\u011b krve do krevn\u00edho ob\u011bhu. Pomaleji se zvy\u0161uje srde\u010dn\u00ed frekvence a srde\u010dn\u00ed v\u00fddej p\u0159i odezv\u011b na zv\u00fd\u0161enou fyzickou z\u00e1t\u011b\u017e a maxim\u00e1ln\u00ed dosa\u017eiteln\u00e9 hodnoty jsou ni\u017e\u0161\u00ed (viz tabulku). Sni\u017eov\u00e1n\u00ed maxim\u00e1ln\u00ed srde\u010dn\u00ed frekvence se zd\u00e1 b\u00fdt d\u016fsledkem st\u00e1rnut\u00ed a je patrn\u011bj\u0161\u00ed u lid\u00ed, kte\u0159\u00ed se m\u00e1lo pohybuj\u00ed a u jedinc\u016f s n\u011bjak\u00fdm zjevn\u00fdm kardiovaskul\u00e1rn\u00edm onemocn\u011bn\u00edm.<\/p>\n

S v\u011bkem se m\u011bn\u00ed i autonomn\u00ed nervov\u00fd syst\u00e9m. Za norm\u00e1ln\u00edch okolnost\u00ed stanovuje p\u0159i klidov\u00e9m stavu z\u00e1kladn\u00ed srde\u010dn\u00ed frekvenci parasympatick\u00fd nervov\u00fd syst\u00e9m, zat\u00edmco sympatick\u00fd nervov\u00fd syst\u00e9m ovliv\u0148uje srdce p\u0159i zv\u00fd\u0161en\u00e9 fyzick\u00e9 aktivit\u011b, nebo jej\u00edm o\u010dek\u00e1v\u00e1n\u00ed. T\u00edm se v\u010das a p\u0159im\u011b\u0159en\u011b zvy\u0161uje srde\u010dn\u00ed v\u00fddej nutn\u00fd pro podporu prob\u00edhaj\u00edc\u00ed \u010dinnosti. Pr\u016fb\u011b\u017en\u00e9 vyrovn\u00e1v\u00e1n\u00ed mezi sympatick\u00fdm a parasympatick\u00fdm syst\u00e9mem zp\u016fsobuje rozd\u00edly v srde\u010dn\u00ed frekvenci patrn\u00e9 i mezi jednotliv\u00fdmi srde\u010dn\u00edmi stahy, co\u017e nazna\u010duje zdravou funkci cel\u00e9ho syst\u00e9mu. S postupuj\u00edc\u00edm v\u011bkem v\u0161ak \u010dinnost parasympatick\u00e9ho syst\u00e9mu sl\u00e1bne a stoup\u00e1 \u010dinnost sympatiku (i p\u0159i klidov\u00e9m stavu), \u010d\u00edm\u017e miz\u00ed variabilita srde\u010dn\u00ed frekvence a srde\u010dn\u00ed rytmus je n\u00e1chyln\u011bj\u0161\u00ed k vybo\u010den\u00ed z norm\u00e1lu. N\u00edzk\u00e1 variabilita tepov\u00e9 frekvence a zv\u00fd\u0161en\u00e1 klidov\u00e1 tepov\u00e1 frekvence (zap\u0159\u00ed\u010din\u011bn\u00e1 \u00fabytkem parasympatick\u00e9ho tonu) zvy\u0161uje nebezpe\u010d\u00ed NSS nez\u00e1visle na dal\u0161\u00edch okolnostech v\u00edce ne\u017e dvaap\u016flkr\u00e1t.<\/p>\n

Vliv pot\u00e1p\u011bn\u00ed na kardiovaskul\u00e1rn\u00ed soustavu<\/strong><\/p>\n

Pot\u00e1p\u011bn\u00ed vystavuje t\u011bla pot\u00e1p\u011b\u010d\u016f r\u016fzn\u00fdm stresor\u016fm, kter\u00e9 nez\u00e1visle na sob\u011b ovliv\u0148uj\u00ed kardiovaskul\u00e1rn\u00ed funkci. K hlavn\u00edm stresor\u016fm pat\u0159\u00ed pono\u0159en\u00ed, vystaven\u00ed chladu, zv\u00fd\u0161en\u00fd parci\u00e1ln\u00ed tlak kysl\u00edku a v\u011bt\u0161\u00ed pr\u00e1ce pot\u0159ebn\u00e1 pro d\u00fdch\u00e1n\u00ed.<\/p>\n

Kombinovan\u00fd \u00fa\u010dinek t\u011bchto faktor\u016f m\u00e1 za n\u00e1sledek zv\u00fd\u0161en\u00fd objem krve v krevn\u00edm \u0159e\u010di\u0161ti hrudn\u00edku, \u010d\u00edm\u017e doch\u00e1z\u00ed k rozta\u017een\u00ed jak srde\u010dn\u00ed st\u011bny, tak i st\u011bny velk\u00fdch c\u00e9v. Tlak krve v prav\u00e9 s\u00edni i syst\u00e9mov\u00fd krevn\u00ed tlak se m\u00edrn\u011b zvy\u0161uje, obzvl\u00e1\u0161t\u011b ve studen\u00e9 vod\u011b. Pro udr\u017een\u00ed ob\u011bhu mus\u00ed srdce v\u00edce pracovat. Tyto podm\u00ednky p\u0159isp\u00edvaj\u00ed ke vzniku r\u016fzn\u00fdch arytmi\u00ed, od bradykardie (pomal\u00e9 srde\u010dn\u00ed frekvence) zp\u016fsoben\u00e9 chladem a\u017e po tachyarytmii (rychle bu\u0161\u00edc\u00ed srdce) zap\u0159\u00ed\u010din\u011bnou srde\u010dn\u00edmi a neuroendokrinn\u00edmi odezvami na stres. Star\u0161\u00edm lidem, zvl\u00e1\u0161t\u011b jedinc\u016fm se struktur\u00e1ln\u00edmi kardiovaskul\u00e1rn\u00edmi zm\u011bnami a s oslabenou funkc\u00ed, hroz\u00ed p\u0159i t\u00e9to z\u00e1t\u011b\u017ei v\u011bt\u0161\u00ed nebezpe\u010d\u00ed nep\u0159\u00edzniv\u00fdch reakc\u00ed.  <\/p>\n

Pot\u00e1p\u011bn\u00ed m\u00e1 dopad i na autonomn\u00ed nervov\u00fd syst\u00e9m. U zdrav\u00fdch jedinc\u016f vyvol\u00e1v\u00e1 pot\u00e1p\u011bn\u00ed zv\u00fd\u0161en\u00ed parasympatick\u00fdch \u00fa\u010dink\u016f na srde\u010dn\u00ed frekvenci, p\u0159i\u010dem\u017e variabilita srde\u010dn\u00ed frekvence z\u016fst\u00e1v\u00e1 zachov\u00e1na. Pokud je v\u0161ak pot\u00e1p\u011bn\u00ed vn\u00edm\u00e1no jako stresov\u00e1 \u010dinnost, doch\u00e1z\u00ed k vych\u00fdlen\u00ed rovnov\u00e1hy autonomn\u00edho nervov\u00e9ho syst\u00e9mu opa\u010dn\u00fdm sm\u011brem: Sympatick\u00e9 \u00fa\u010dinky p\u0159eva\u017euj\u00ed a t\u00edm se zvy\u0161uje srde\u010dn\u00ed frekvence, sni\u017euje variabilita frekvence a zvy\u0161uje nebezpe\u010d\u00ed arytmie.<\/p>\n

I kdy\u017e se pot\u00e1p\u011bn\u00ed \u010dasto ch\u00e1pe jako oddechov\u00e1 \u010dinnost, n\u011bkdy jeho n\u00e1ro\u010dnost p\u0159ekro\u010d\u00ed fyzick\u00e9 schopnosti pot\u00e1p\u011b\u010d\u016f s ur\u010dit\u00fdmi funk\u010dn\u00edmi zdravotn\u00edmi omezen\u00edmi nebo schopnosti pot\u00e1p\u011b\u010d\u016f, kte\u0159\u00ed jsou sice zdrav\u00ed, ale vy\u0161\u0161\u00edho v\u011bku. V podm\u00ednk\u00e1ch pono\u0159en\u00ed a stavu bezt\u00ed\u017ee se jev\u00ed svalov\u00e1 pr\u00e1ce jako m\u00e9n\u011b nam\u00e1hav\u00e1 a pot\u00e1p\u011b\u010di mohou snadno p\u0159ekro\u010dit sv\u00e9 kardiorespira\u010dn\u00ed mo\u017enosti. V\u011bt\u0161ina pot\u00e1p\u011b\u010d\u016f pova\u017euje plav\u00e1n\u00ed proti proudu o s\u00edle 0,5 uzl\u016f za nam\u00e1hav\u00e9. Srde\u010dn\u00ed frekvence nam\u011b\u0159en\u00e9 u vytr\u00e9novan\u00fdch vojensk\u00fdch pot\u00e1p\u011b\u010d\u016f p\u0159i plav\u00e1n\u00ed pod vodou v n\u00edzk\u00e9 hloubce se zv\u00fd\u0161ily p\u0159i proudu o s\u00edle 0,6 uzlu na pr\u016fm\u011brn\u00fdch 101 tep\u016f za minutu (bpm) a p\u0159i proudu o s\u00edle 1,2 uzlu na 141 bpm. To by pro mnoho pot\u00e1p\u011b\u010d\u016f znamenalo p\u0159ekro\u010den\u00ed \u00fanosn\u00e9 meze (za kterou se obvykle pova\u017euje m\u00e9n\u011b ne\u017e 80 procent maxim\u00e1ln\u00ed srde\u010dn\u00ed frekvence). Je\u0161t\u011b d\u016fle\u017eit\u011bj\u0161\u00ed je m\u00edt na mysli, \u017ee pot\u00e1p\u011b\u010di, kte\u0159\u00ed plav\u00e1n\u00ed pravideln\u011b netr\u00e9nuj\u00ed a neovl\u00e1daj\u00ed dokonale techniku plav\u00e1n\u00ed pod vodou s ploutvemi, stejn\u011b jako ti, kdo si nezajist\u00ed ide\u00e1ln\u00ed obt\u00e9k\u00e1n\u00ed v\u00fdstroje nebo nejsou spr\u00e1vn\u011b vyv\u00e1\u017een\u00ed, dos\u00e1hnou pravd\u011bpodobn\u011b sv\u00e9 maxim\u00e1ln\u00ed srde\u010dn\u00ed frekvence i p\u0159i pomalej\u0161\u00edm plav\u00e1n\u00ed. N\u011bkte\u0159\u00ed tak mohou dos\u00e1hnout hranic sv\u00fdch mo\u017enost\u00ed, i kdy\u017e se sna\u017e\u00ed pouze udr\u017eet se pod vodou.<\/p>\n

Jak\u00e1 jsou rizika?<\/strong><\/p>\n

Statistiky smrteln\u00fdch p\u0159\u00edpad\u016f ukazuj\u00ed, \u017ee nejm\u00e9n\u011b jedna t\u0159etina v\u0161ech \u00famrt\u00ed spojen\u00fdch s pot\u00e1p\u011bn\u00edm souvis\u00ed s n\u00e1hlou srde\u010dn\u00ed p\u0159\u00edhodou. Riziko \u00famrt\u00ed souvisej\u00edc\u00edho se srde\u010dn\u00ed p\u0159\u00edhodou pr\u016fb\u011b\u017en\u011b stoup\u00e1 se zvy\u0161uj\u00edc\u00edm se v\u011bkem; pot\u00e1p\u011b\u010d\u016fm star\u0161\u00edm 50 let hroz\u00ed 10 kr\u00e1t v\u011bt\u0161\u00ed nebezpe\u010d\u00ed ne\u017e pot\u00e1p\u011b\u010d\u016fm mlad\u0161\u00edm 50 let. I kdy\u017e n\u011bkter\u00e9 srde\u010dn\u00ed p\u0159\u00edhody mohou b\u00fdt vyprovokov\u00e1ny pot\u00e1p\u011bn\u00edm, jin\u00e9 nemus\u00ed s pot\u00e1p\u011bn\u00edm v\u016fbec souviset, nebo\u0165 k n\u00e1hl\u00e9 srde\u010dn\u00ed smrti doch\u00e1z\u00ed tak\u00e9 p\u0159i plav\u00e1n\u00ed, b\u011bhem nejr\u016fzn\u011bj\u0161\u00edch sport\u016f provozovan\u00fdch na sou\u0161i, p\u0159i odpo\u010dinku i ve sp\u00e1nku. <\/p>\n

Akutn\u00ed infarkt myokardu vyvolan\u00fd n\u00e1mahou p\u0159i plav\u00e1n\u00ed proti proudu, ve vln\u00e1ch nebo s v\u00fdrazn\u011b nespr\u00e1vn\u00fdm vyv\u00e1\u017een\u00edm pat\u0159\u00ed pravd\u011bpodobn\u011b k dosti obvykl\u00fdm p\u0159\u00edpad\u016fm \u00famrt\u00ed souvisej\u00edc\u00edm s pot\u00e1p\u011bn\u00edm. D\u016fvodem vzniku infarktu je nedostate\u010dn\u00e9 prokrven\u00ed pracuj\u00edc\u00edho srde\u010dn\u00edho svalu. Nej\u010dast\u011bji postihuje mu\u017ee-pot\u00e1p\u011b\u010de st\u0159edn\u00edho v\u011bku, kte\u0159\u00ed nev\u011bd\u00ed, \u017ee maj\u00ed ischemickou chorobu srde\u010dn\u00ed.<\/p>\n

Rovn\u011b\u017e je nutn\u00e9 si uv\u011bdomit, \u017ee pot\u00e1p\u011bn\u00ed m\u016f\u017ee vyvolat akutn\u00ed arytmii, kter\u00e1 m\u016f\u017ee skon\u010dit n\u00e1hlou smrt\u00ed. Arytmie b\u00fdv\u00e1 \u010dast\u011bj\u0161\u00ed p\u0159\u00ed\u010dinou \u00famrt\u00ed u star\u0161\u00edch pot\u00e1p\u011b\u010d\u016f. Carl Edmonds, M.D., \u0159\u00edk\u00e1 (a \u00fadaje ulo\u017een\u00e9 v DAN to dokazuj\u00ed): „T\u011bsn\u011b p\u0159ed smrt\u00ed vypadaly ob\u011bti \u010dasto velmi klidn\u011b. N\u011bkte\u0159\u00ed lid\u00e9 byli nezvykle unaveni nebo odpo\u010d\u00edvali, proto\u017ee se p\u0159edt\u00edm nadm\u011brn\u011b vy\u010derpali, jin\u00e9 n\u011bkdo z vody vyt\u00e1hnul, co\u017e nazna\u010duje jist\u00fd stupe\u0148 vys\u00edlen\u00ed. N\u011bkte\u0159\u00ed se p\u0159ed kone\u010dn\u00fdm zhroucen\u00edm chovali jako by se nec\u00edtili dob\u0159e. N\u011bkdo si st\u011b\u017eoval na pot\u00ed\u017ee s d\u00fdch\u00e1n\u00edm jen n\u011bkolik vte\u0159in p\u0159ed kolapsem, jin\u00ed ji\u017e pod vodou signalizovali, \u017ee pot\u0159ebuj\u00ed d\u00fdch\u00e1n\u00ed „dva z jednoho“, ale odm\u00edtli nab\u00edzen\u00fd regul\u00e1tor. Du\u0161nost m\u016f\u017ee vysv\u011btlovat psychogenn\u00ed hyperventilace, autonomn\u011b vyvolan\u00e1 ventila\u010dn\u00ed stimulace, nebo plicn\u00ed ed\u00e9m – ten b\u00fdv\u00e1 prok\u00e1z\u00e1n p\u0159i n\u00e1sledn\u00e9 pitv\u011b. Ve v\u0161ech popisovan\u00fdch p\u0159\u00edpadech bylo k dispozici dostate\u010dn\u00e9 mno\u017estv\u00ed vzduchu, co\u017e znamen\u00e1, \u017ee du\u0161nost nebyla zap\u0159\u00ed\u010din\u011bn\u00e1 probl\u00e9my s v\u00fdstroj\u00ed. N\u011bkter\u00e9 ob\u011bti ztratily v\u011bdom\u00ed, ani\u017e by sta\u010dily vydat n\u011bjak\u00fd sign\u00e1l sv\u00e9mu kolegovi, jin\u00e9 se pom\u011brn\u011b klidn\u00fdm zp\u016fsobem do\u017eadovaly pomoci.”<\/p>\n

K n\u00e1hl\u00e9 srde\u010dn\u00ed smrti doch\u00e1z\u00ed ve srovnateln\u00e9m procentu u p\u0159ibli\u017en\u011b stejn\u00fdch v\u011bkov\u00fdch kategori\u00ed jak u pot\u00e1p\u011b\u010dsk\u00e9, tak i u v\u0161eobecn\u00e9 populace, ale p\u0159\u00ed\u010dinn\u00e1 souvislost mezi pot\u00e1p\u011bn\u00edm a NSS se nesm\u00ed podce\u0148ovat. P\u0159\u00edpady NSS bez n\u011bjak\u00e9ho z\u0159ejm\u00e9ho vn\u011bj\u0161\u00edho provokuj\u00edc\u00edho faktoru jsou \u010dast\u011bj\u0161\u00ed u star\u0161\u00edch pot\u00e1p\u011b\u010d\u016f. Zdravotn\u00ed \u0161et\u0159en\u00ed v takov\u00fdch p\u0159\u00edpadech zpravidla odhal\u00ed sp\u00ed\u0161e p\u0159\u00edznaky srde\u010dn\u00edho onemocn\u011bn\u00ed ne\u017e n\u011bjakou specifickou ud\u00e1lost, kter\u00e1 zap\u0159\u00ed\u010dinila NSS. Pravd\u011bpodobn\u011b by v t\u011bchto p\u0159\u00edpadech do\u0161lo k \u00famrt\u00ed i v p\u0159\u00edpad\u011b, \u017ee by se ob\u011b\u0165 zrovna nepot\u00e1p\u011bla, ov\u0161em s t\u00edm rozd\u00edlem, \u017ee p\u0159i pot\u00e1p\u011bn\u00ed zpravidla nen\u00ed mo\u017en\u00e1 resuscitace. Nejlep\u0161\u00ed zp\u016fsob, jak se vyhnout NSS, je p\u0159edch\u00e1zet srde\u010dn\u00edmu onemocn\u011bn\u00ed, udr\u017eovat si celkov\u00e9 zdrav\u00ed a fyzickou zdatnost navzdory st\u00e1rnut\u00ed.<\/p>\n

Fyzick\u00e1 zdatnost a celkov\u00e9 zdrav\u00ed<\/strong><\/p>\n

Fyzick\u00e1 zdatnost je schopnost pohybovat se v re\u00e1ln\u00e9m sv\u011bt\u011b a m\u011bnit jej pomoc\u00ed svalov\u00e9 \u010dinnosti. Krom jin\u00e9ho je d\u00e1na p\u0159edev\u0161\u00edm schopnost\u00ed prov\u00e1d\u011bt aerobn\u00ed pr\u00e1ci. Dobr\u00e9 zdrav\u00ed a fyzick\u00e1 zdatnost ve vy\u0161\u0161\u00edm v\u011bku je v nep\u0159\u00edtomnosti z\u00e1va\u017en\u00e9ho onemocn\u011bn\u00ed ur\u010dena p\u0159edev\u0161\u00edm celo\u017eivotn\u00edmi zdrav\u00fdmi n\u00e1vyky a cvi\u010den\u00edm. P\u0159ijet\u00ed zdrav\u00e9ho \u017eivotn\u00edho stylu v jak\u00e9mkoliv v\u011bku zlep\u0161\u00ed kvalitu \u017eivota, ale n\u00e1vrat k odpov\u00eddaj\u00edc\u00edmu stavu fyzick\u00e9 zdatnosti a dlouhov\u011bkosti bude pravd\u011bpodobn\u011b z\u00e1viset na mno\u017estv\u00ed a intenzit\u011b d\u0159\u00edv\u011bj\u0161\u00edch proh\u0159e\u0161k\u016f. Podle doporu\u010den\u00ed vysok\u00e9 \u0161koly American College of Sports Medicine (ACSM) a  sdru\u017een\u00ed American Heart Association (AHA) je pravideln\u00e1 fyzick\u00e1 \u010dinnost zahrnuj\u00edc\u00ed aerobn\u00ed svalovou aktivitu nezbytn\u00e1 pro zdrav\u00e9 st\u00e1rnut\u00ed. Americk\u00e9 ministerstvo zdravotnictv\u00ed zve\u0159ejnilo doporu\u010den\u00ed pro fyzick\u00e9 aktivity na webov\u00e9 str\u00e1nce www.health.gov<\/a><\/em>. V\u00fdhody plynouc\u00ed z fyzick\u00e9ho cvi\u010den\u00ed jsou mnoh\u00e9 a p\u0159\u00edmo odpov\u00eddaj\u00ed mno\u017estv\u00ed vynakl\u00e1dan\u00e9 fyzick\u00e9 n\u00e1mahy: \u010c\u00edm v\u00edce \u010dlov\u011bk cvi\u010d\u00ed, t\u00edm v\u011bt\u0161\u00ed v\u00fdhody mu to p\u0159in\u00e1\u0161\u00ed. Pat\u0159\u00ed k nim sni\u017eov\u00e1n\u00ed rizika vzniku kardiovaskul\u00e1rn\u00edho onemocn\u011bn\u00ed (a tud\u00ed\u017e NSS), tromboembolick\u00fdch p\u0159\u00edhod, vysok\u00e9ho tlaku, diabetu 2. typu, osteopor\u00f3zy, obezity, rakoviny tlust\u00e9ho st\u0159eva, rakoviny prsu, \u00fazkosti a deprese. ACSM a AHA shodn\u011b tvrd\u00ed, \u017ee p\u0159i dosa\u017een\u00ed dostate\u010dn\u00fdch dovednost\u00ed a zku\u0161enost\u00ed mohou i star\u0161\u00ed jedinci dosahovat vysok\u00e9 \u00farovn\u011b fyzick\u00e9 aktivity p\u0159i cvi\u010den\u00ed. Z\u00e1rove\u0148 lze v\u0161ak \u0159\u00edci, \u017ee u n\u011bkter\u00fdch star\u0161\u00edch lid\u00ed jsou p\u0159i snaze o dosa\u017een\u00ed vy\u0161\u0161\u00ed intenzity fyzick\u00fdch aktivit p\u0159ek\u00e1\u017ekou chronick\u00e9 nemoci, r\u016fzn\u00e1 funk\u010dn\u00ed omezen\u00ed a \u00fabytek fyzick\u00e9 zdatnosti. I kdy\u017e lze i pomoc\u00ed m\u00edrn\u00e9 a\u017e st\u0159edn\u00ed fyzick\u00e9 aktivity dos\u00e1hnout ur\u010dit\u00fdch zlep\u0161en\u00ed zdravotn\u00edho stavu, nelze t\u00edmto zp\u016fsobem zv\u00fd\u0161it aerobn\u00ed kapacitu, \u010di zlep\u0161it schopnost plavat proti siln\u00e9mu proudu. Nadpr\u016fm\u011brn\u00e9 aerobn\u00ed zdatnosti lze dos\u00e1hnout pouze pravideln\u00fdm intenz\u00edvn\u00edm cvi\u010den\u00edm, kter\u00e9 mus\u00ed schv\u00e1lit l\u00e9ka\u0159. Nav\u00edc plat\u00ed, \u017ee schopnost plavat proti proudu vy\u017eaduje dovednost plavat s ploutvemi. Pot\u00e1p\u011b\u010di bez t\u00e9to dovednosti nemus\u00ed dok\u00e1zat vytvo\u0159it dostate\u010dnou pr\u016fraznou s\u00edlu pot\u0159ebnou k p\u0159ekon\u00e1n\u00ed siln\u00e9ho proudu, i kdy\u017e mohou m\u00edt vysokou aerobn\u00ed kapacitu pro svalovou pr\u00e1ci. Proto mus\u00ed pat\u0159it k fyzick\u00e9mu v\u00fdcviku pot\u00e1p\u011b\u010de i nacvi\u010dov\u00e1n\u00ed plav\u00e1n\u00ed s ploutvemi.<\/p>\n

Celkov\u00e9 zdrav\u00ed – wellness <\/strong><\/p>\n

Wellness se d\u00e1 definovat r\u016fzn\u011b, ale v podstat\u011b se jedn\u00e1 o subjektivn\u00ed pocit spokojenosti se sv\u00fdm sou\u010dasn\u00fdm stavem, kter\u00fd samoz\u0159ejm\u011b siln\u011b z\u00e1vis\u00ed na zdrav\u00ed. Tento pocit z\u00e1rove\u0148 umo\u017e\u0148uje zdrav\u00ed posilovat. Jedn\u00edm z p\u0159\u00edklad\u016f cvi\u010den\u00ed, kter\u00e9 m\u016f\u017ee lidem pomoci tohoto stavu dos\u00e1hnout, je j\u00f3ga. J\u00f3ga p\u0159\u00edzniv\u011b ovliv\u0148uje pru\u017enost, dr\u017een\u00ed t\u011bla, rovnov\u00e1hu a svalovou s\u00edlu. Relaxa\u010dn\u00ed a d\u00fdchac\u00ed techniky sni\u017euj\u00ed u star\u0161\u00edch lid\u00ed celkov\u00fd tonus sympatiku, zvy\u0161uj\u00ed vliv parasympatiku na srde\u010dn\u00ed frekvenci a podporuj\u00ed variabilitu srde\u010dn\u00ed frekvence. Pravideln\u00e9 cvi\u010den\u00ed j\u00f3gy sni\u017euje \u00fazkost a posiluje celkov\u00fd pocit pohody.<\/p>\n

Pocity pohody v\u0161ak nemus\u00ed p\u0159\u00edmo souviset s fyzickou zdatnost\u00ed. Lid\u00e9, kte\u0159\u00ed neprov\u00e1d\u011bj\u00ed pravideln\u00e1 intenz\u00edvn\u00ed t\u011blesn\u00e1 cvi\u010den\u00ed, mohou zjistit sv\u00e9 meze a\u017e v okam\u017eiku konfrontace s n\u011bjakou v\u00fdzvou, co\u017e m\u016f\u017ee b\u00fdt ji\u017e pozd\u011b. U n\u00e1ru\u017eiv\u00fdch pot\u00e1p\u011b\u010d\u016f m\u016f\u017ee b\u00fdt pot\u00e1p\u011bn\u00ed velmi d\u016fle\u017eit\u00e9 pro dosa\u017een\u00ed stavu celkov\u00e9 vyrovnanosti. Jestli\u017ee si chce \u010dlov\u011bk udr\u017eet dobrou fyzickou zdatnost pro pot\u00e1p\u011bn\u00ed, m\u011bl by \u017e\u00edt zdrav\u00fdm \u017eivotn\u00edm stylem, pravideln\u011b cvi\u010dit, nacvi\u010dovat v\u0161echny dovednosti pot\u0159ebn\u00e9 pro pot\u00e1p\u011bn\u00ed a sna\u017eit se udr\u017eet ve stavu pohody. P\u0159i pot\u00e1p\u011bn\u00ed je potom t\u0159eba \u010dinit spr\u00e1vn\u00e1 rozhodnut\u00ed.<\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

St\u00e1rnut\u00ed pot\u00e1p\u011b\u010dsk\u00e9 populace a zv\u00fd\u0161en\u00fd v\u00fdskyt \u00famrt\u00ed souvisej\u00edc\u00edch se srde\u010dn\u00edmi probl\u00e9my u star\u0161\u00edch pot\u00e1p\u011b\u010d\u016f p\u0159itahuje \u010d\u00edm d\u00e1l v\u011bt\u0161\u00ed pozornost. V\u017edy\u0165 p\u0159\u00edstrojov\u00e9 pot\u00e1p\u011bn\u00ed v p\u0159\u00edjemn\u00e9m a zdrav\u00e9m…<\/p>\n","protected":false},"author":1,"featured_media":11374833,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[384],"tags":[],"authors":[1571],"class_list":["post-11385598","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clanky","authors-petar-denoble-cs_cz"],"acf":[],"yoast_head":"\nSrde\u010dn\u00ed z\u00e1le\u017eitosti - Alert Diver<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Srde\u010dn\u00ed z\u00e1le\u017eitosti - Alert Diver\" \/>\n<meta property=\"og:description\" content=\"St\u00e1rnut\u00ed pot\u00e1p\u011b\u010dsk\u00e9 populace a zv\u00fd\u0161en\u00fd v\u00fdskyt \u00famrt\u00ed souvisej\u00edc\u00edch se srde\u010dn\u00edmi probl\u00e9my u star\u0161\u00edch pot\u00e1p\u011b\u010d\u016f p\u0159itahuje \u010d\u00edm d\u00e1l v\u011bt\u0161\u00ed pozornost. V\u017edy\u0165 p\u0159\u00edstrojov\u00e9 pot\u00e1p\u011bn\u00ed v p\u0159\u00edjemn\u00e9m a zdrav\u00e9m...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/\" \/>\n<meta property=\"og:site_name\" content=\"Alert Diver\" \/>\n<meta property=\"article:published_time\" content=\"2014-02-12T23:00:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-86-3.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2000\" \/>\n\t<meta property=\"og:image:height\" content=\"1328\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"microfilla\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Napsal(a)\" \/>\n\t<meta name=\"twitter:data1\" content=\"microfilla\" \/>\n\t<meta name=\"twitter:label2\" content=\"Odhadovan\u00e1 doba \u010dten\u00ed\" \/>\n\t<meta name=\"twitter:data2\" content=\"16 minut\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/\"},\"author\":{\"name\":\"microfilla\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/person\/9ba7cb3f05522d75bf215ab2cf40b01b\"},\"headline\":\"Srde\u010dn\u00ed z\u00e1le\u017eitosti\",\"datePublished\":\"2014-02-12T23:00:00+00:00\",\"dateModified\":\"2014-02-12T23:00:00+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/\"},\"wordCount\":3229,\"publisher\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#organization\"},\"image\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-86-3.jpg\",\"articleSection\":[\"Clanky\"],\"inLanguage\":\"cs\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/\",\"url\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/\",\"name\":\"Srde\u010dn\u00ed z\u00e1le\u017eitosti - Alert Diver\",\"isPartOf\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-86-3.jpg\",\"datePublished\":\"2014-02-12T23:00:00+00:00\",\"dateModified\":\"2014-02-12T23:00:00+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/#breadcrumb\"},\"inLanguage\":\"cs\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"cs\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/#primaryimage\",\"url\":\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-86-3.jpg\",\"contentUrl\":\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-86-3.jpg\",\"width\":2000,\"height\":1328},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/alertdiver.eu\/cs_CZ\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Srde\u010dn\u00ed z\u00e1le\u017eitosti\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#website\",\"url\":\"https:\/\/alertdiver.eu\/cs_CZ\/\",\"name\":\"Alert Diver Europe\",\"description\":\"Access, discover and share the latest diving safety content from DAN Europe.\",\"publisher\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/alertdiver.eu\/cs_CZ\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"cs\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#organization\",\"name\":\"Alert Diver Europe\",\"url\":\"https:\/\/alertdiver.eu\/cs_CZ\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"cs\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/02\/cropped-favicon.png\",\"contentUrl\":\"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/02\/cropped-favicon.png\",\"width\":512,\"height\":512,\"caption\":\"Alert Diver Europe\"},\"image\":{\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/logo\/image\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/person\/9ba7cb3f05522d75bf215ab2cf40b01b\",\"name\":\"microfilla\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"cs\",\"@id\":\"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/09f39449f14df8c3ad651888221bb907?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/09f39449f14df8c3ad651888221bb907?s=96&d=mm&r=g\",\"caption\":\"microfilla\"},\"sameAs\":[\"https:\/\/microfilla.com\"],\"url\":\"https:\/\/alertdiver.eu\/cs_CZ\/author\/microfilla\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Srde\u010dn\u00ed z\u00e1le\u017eitosti - Alert Diver","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/","og_locale":"cs_CZ","og_type":"article","og_title":"Srde\u010dn\u00ed z\u00e1le\u017eitosti - Alert Diver","og_description":"St\u00e1rnut\u00ed pot\u00e1p\u011b\u010dsk\u00e9 populace a zv\u00fd\u0161en\u00fd v\u00fdskyt \u00famrt\u00ed souvisej\u00edc\u00edch se srde\u010dn\u00edmi probl\u00e9my u star\u0161\u00edch pot\u00e1p\u011b\u010d\u016f p\u0159itahuje \u010d\u00edm d\u00e1l v\u011bt\u0161\u00ed pozornost. V\u017edy\u0165 p\u0159\u00edstrojov\u00e9 pot\u00e1p\u011bn\u00ed v p\u0159\u00edjemn\u00e9m a zdrav\u00e9m...","og_url":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/","og_site_name":"Alert Diver","article_published_time":"2014-02-12T23:00:00+00:00","og_image":[{"width":2000,"height":1328,"url":"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-86-3.jpg","type":"image\/jpeg"}],"author":"microfilla","twitter_card":"summary_large_image","twitter_misc":{"Napsal(a)":"microfilla","Odhadovan\u00e1 doba \u010dten\u00ed":"16 minut"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/#article","isPartOf":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/"},"author":{"name":"microfilla","@id":"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/person\/9ba7cb3f05522d75bf215ab2cf40b01b"},"headline":"Srde\u010dn\u00ed z\u00e1le\u017eitosti","datePublished":"2014-02-12T23:00:00+00:00","dateModified":"2014-02-12T23:00:00+00:00","mainEntityOfPage":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/"},"wordCount":3229,"publisher":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/#organization"},"image":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/#primaryimage"},"thumbnailUrl":"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-86-3.jpg","articleSection":["Clanky"],"inLanguage":"cs"},{"@type":"WebPage","@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/","url":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/","name":"Srde\u010dn\u00ed z\u00e1le\u017eitosti - Alert Diver","isPartOf":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/#website"},"primaryImageOfPage":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/#primaryimage"},"image":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/#primaryimage"},"thumbnailUrl":"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-86-3.jpg","datePublished":"2014-02-12T23:00:00+00:00","dateModified":"2014-02-12T23:00:00+00:00","breadcrumb":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/#breadcrumb"},"inLanguage":"cs","potentialAction":[{"@type":"ReadAction","target":["https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/"]}]},{"@type":"ImageObject","inLanguage":"cs","@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/#primaryimage","url":"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-86-3.jpg","contentUrl":"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/06\/alert-diver-article-86-3.jpg","width":2000,"height":1328},{"@type":"BreadcrumbList","@id":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/srdecni-zalezitosti\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/alertdiver.eu\/cs_CZ\/"},{"@type":"ListItem","position":2,"name":"Srde\u010dn\u00ed z\u00e1le\u017eitosti"}]},{"@type":"WebSite","@id":"https:\/\/alertdiver.eu\/cs_CZ\/#website","url":"https:\/\/alertdiver.eu\/cs_CZ\/","name":"Alert Diver Europe","description":"Access, discover and share the latest diving safety content from DAN Europe.","publisher":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/alertdiver.eu\/cs_CZ\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"cs"},{"@type":"Organization","@id":"https:\/\/alertdiver.eu\/cs_CZ\/#organization","name":"Alert Diver Europe","url":"https:\/\/alertdiver.eu\/cs_CZ\/","logo":{"@type":"ImageObject","inLanguage":"cs","@id":"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/logo\/image\/","url":"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/02\/cropped-favicon.png","contentUrl":"https:\/\/alertdiver.eu\/wp-content\/uploads\/2023\/02\/cropped-favicon.png","width":512,"height":512,"caption":"Alert Diver Europe"},"image":{"@id":"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/person\/9ba7cb3f05522d75bf215ab2cf40b01b","name":"microfilla","image":{"@type":"ImageObject","inLanguage":"cs","@id":"https:\/\/alertdiver.eu\/cs_CZ\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/09f39449f14df8c3ad651888221bb907?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/09f39449f14df8c3ad651888221bb907?s=96&d=mm&r=g","caption":"microfilla"},"sameAs":["https:\/\/microfilla.com"],"url":"https:\/\/alertdiver.eu\/cs_CZ\/author\/microfilla\/"}]}},"_links":{"self":[{"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/posts\/11385598","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/comments?post=11385598"}],"version-history":[{"count":0,"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/posts\/11385598\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/media\/11374833"}],"wp:attachment":[{"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/media?parent=11385598"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/categories?post=11385598"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/tags?post=11385598"},{"taxonomy":"authors","embeddable":true,"href":"https:\/\/alertdiver.eu\/cs_CZ\/wp-json\/wp\/v2\/authors?post=11385598"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}